DR. HARRY HERMAN III BLANKE (MD) – Family Medicine Physician, NPI 1104347053
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,723 FAMILY PRACTICE in FL
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Provider Addresses for DR. HARRY HERMAN III BLANKE (MD)
807 STATE ROAD 44
NEW SMYRNA BEACH, FL 321687271
Phone: (386) 425-5554
Fax: (386) 428-6291
Type: Mailing
North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32117, United States
HALIFAX HEALTH FAMILY MEDICINE RESIDENCY PROGRAM
DAYTONA BEACH, FL 32114
Phone: (386) 425-4167
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,066.
Total Amount is formed as General ($1,066) + Research ($0) + Ownership ($0) = $1,066.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: PFIZER INC. ($295).
Total Amount
$1,066
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,066
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $295 |
| Novo Nordisk Inc | $179 |
| Exact Sciences Corporation | $123 |
| SI-BONE, INC. | $74 |
| Bayer Healthcare Pharmaceuticals Inc. | $68 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190320003016 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 284 | 184 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 143 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 128 | 128 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
| 81003 | Automated urinalysis test | 16 | 16 | $0 |
Insurance plans in this area (ZIP 32168)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| U R O L O G Y | FL | |
| Gastroenterology, Internal Medicine | FL | |
| - | - | |
| - | FL | |
| - | FL | |
| - | TN | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| - | FL | |
| - | FL |
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